NPIMap

Organization Active NPI

Santiam Orthopedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Salem, OR
National Provider Identifier
1437338530
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD19742 Issued in OR
Legal business name
SANTIAM ORTHOPEDICS AND SPORTS MEDICINE PC
Practice address
700 Bellevue St SE
Suite 260
Salem, OR 97301-3819
Phone
(503) 375-3636
Fax
(503) 375-3737
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raylene Lorraine Gordin, M.D.
Title
President
Phone
(503) 375-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD19742 OR Primary

Addresses

Primary practice location

700 Bellevue St SE
Suite 260
Salem, OR 97301-3819

Mailing address

700 Bellevue St SE
Suite 260
Salem, OR 97301-3819
Phone (503) 375-3636

Other identifiers 1

IdentifierTypeStateIssuer
081356MedicaidOR

Other names 1

  • Raylene Gordin M.D., P.C. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1437338530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BELLEVUE ST SE",
            "address_2": "SUITE 260",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013819",
            "telephone_number": "503-375-3636",
            "fax_number": "503-375-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BELLEVUE ST SE",
            "address_2": "SUITE 260",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013819",
            "telephone_number": "503-375-3636",
            "fax_number": "503-375-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIAM ORTHOPEDICS AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "GORDIN",
        "authorized_official_first_name": "RAYLENE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-375-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD19742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081356",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raylene Gordin M.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.